Individual
DANA A BOOTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
136 SUDBURY ROAD, CONCORD, MA 01742
(978) 369-5700
(978) 369-5701
Mailing address
136 SUDBURY ROAD, CONCORD, MA 01742
(978) 369-5700
(978) 369-5701
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
12660
MA
Other
Enumeration date
07/21/2006
Last updated
07/08/2007
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